Individual
DR. HUSSEIN S GANGJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12900 W THUNDERBIRD RD, EL MIRAGE, AZ 85335-5945
(623) 583-8920
Mailing address
17620 W LUNDBERG ST, SURPRISE, AZ 85388-3134
(773) 502-7264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1500
AZ
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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